江苏某农村地区柯萨奇病毒A组16型感染所致疾病负担研究  

Study of disease economic burden caused by Coxsackievirus A 16 in certain rural areas in Jiangsu provence

作　　者：姚学君 李家学[2] 李靖欣[3] 胡月梅[3] 孟繁岳[3] 金辉[4] 甘正凯[4] 张明磊[2] 李大罕[2] 张雪峰[3] 朱凤才[3] YAO Xue-jun;LI Jia-xue;LI Jing-xin;HU Yue-mei;MENG Fan-yue;JIN Hui;GAN Zheng-kai;ZHANG Ming-lei;LI Da-han;ZHANG Xue-feng;ZHU Feng-cai(Yancheng Municipal Center for Disease Control and Prevention,Jiangsu Yancheng 224100,China)

机构地区：[1]盐城市疾病预防控制中心,江苏盐城224100 [2]赣榆县疾病预防控制中心 [3]江苏省疾病预防控制中心 [4]东南大学公共卫生学院

出　　处：《江苏预防医学》2018年第4期368-370,377,共4页Jiangsu Journal of Preventive Medicine

基　　金：江苏省重大传染病防控科技示范项目(BE2015714);江苏省流行病学重点学科(ZDXK A2016008)

摘　　要：目的了解柯萨奇病毒A组16型(Coxsackievirus A16,CA16)所致疾病经济负担。方法采用问卷调查方式,对赣榆县可疑肠道病毒病监测系统发现的CA16感染病例进行调查,获得经济负担资料。结果共调查CA16感染病例299例,疾病造成的经济负担共计585 691.17元,人均1 958.83元;人均直接、间接和无形负担分别为239.52、289.99、1 429.33元。有257例病例因病有不同程度失能,患儿失能调整生命年为0.164人年,人均负担强度为0.64人年/千人。结论在农村地区CA16感染所致疾病的疾病负担较重,积极防控CA16感染所致疾病具有较大社会效益和经济效益。Objective To analyze the disease economic burden caused by coxsackievirus A 16（CA16）.Methods Questionnaire based survey were conducted for suspected cases collected by the active and passive surveillance systems built for enterovirus disease in Ganyu county of Jiangsu province to obtain information of disease economic burden.Results A total of 299 CA16 cases were investigated,the total economic burden was 585 691.17 RMB,the per capita was 1 958.83 RMB.The mean direct,indirect and intangible economic burden was 239.52 RMB,289.99 RMB and 1 429.33 RMB,respectively.A total of257 cases had different degrees of disability due to disease,the adjusted life year（DALY）was 0.164 person year and the burden of strength per person was 0.64 DALYs per thousand.Conclusion The disease economic burden of cases caused by CA16 was heavy in rural areas.Effective prevention and control of diseases caused by CA16 infection will have great social and economic benefits.

关 键 词：柯萨奇病毒A组16型 疾病负担 手足口病 农村 

分 类 号：R512.5[医药卫生—内科学]